La Petite Academy

Over-the-counter medicines were not in their original containers or administered as authorized in writing by parent, physician or authorized health professional.

“Six tubes of diaper cream in space #4 were not individually labeled with the names of the children to whom they belonged.”

Rule Over-the-counter medicines were not in their original containers or administered as authorized in writing by parent, physician or authorized health professional.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Sep 30, 2026. Correction verified: by a letter from the provider.

The EPR Plan did not include the location of the Ready to Go File and or the required information.

“The facility’s Ready to Go File was not on the premises during today’s visit.”

Rule The EPR Plan did not include the location of the Ready to Go File and or the required information.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Sep 30, 2026. Correction verified: by a letter from the provider.

All staff records, except financial records, were not made available for review.

“The required paperwork for each staff member’s file was not maintained and available for review during today’s visit.”

Rule All staff records, except financial records, were not made available for review.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Mar 7, 2026. Correction verified: by a letter from the provider.

Medical exam or health assessment record was not on file before or within 30 days after admission.

“One child’s file did not contain a medical exam/health assessment.”

Rule Medical exam or health assessment record was not on file before or within 30 days after admission.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Mar 7, 2026. Correction verified: by a letter from the provider.

Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional.

“An albuterol inhaler for one child was observed on the premises that was not stored in the original, prescription-labeled packaging.”

Rule Prescribed medicine was not in original labeled container or accompanied by signed and dated written instructions from prescribing physician or health care professional.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Mar 7, 2026. Correction verified: by a letter from the provider.

An individual written feeding plan was not provided by child’s parent or health care provider or was not followed and posted.

“Feeding schedules for all children under fifteen (15) months old in spaces #1 and #2 were not available and posted.”

Rule An individual written feeding plan was not provided by child's parent or health care provider or was not followed and posted.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Mar 19, 2025. Correction verified: by a letter from the provider.

Fire drills were not practiced monthly and/or the drill record was incomplete.

“A fire drill was not conducted in January nor February 2025.”

Rule Fire drills were not practiced monthly and/or the drill record was incomplete.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Mar 19, 2025. Correction verified: by a letter from the provider.

For children under three years of age, developmentally appropriate toys and activities were not provided as outlined in Rule.

“In spaces #1 and #2 age appropriate books, music toys, pretend play toys, and fine motor toys were not available in a sufficient quantity.”

Rule For children under three years of age, developmentally appropriate toys and activities were not provided as outlined in Rule.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Mar 19, 2025. Correction verified: by a letter from the provider.

Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete.

“The last documented emergency drill was on 11-19-2024.”

Rule Shelter-in-place or lockdown drills were not practiced every three months and/or drill record was incomplete.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Mar 19, 2025. Correction verified: by a letter from the provider.

A safe indoor and outdoor environment was not provided for the children.

“On January 20, 2025, a one-year-old child ingested a medication not prescribed to the child. Another one-year-old child placed the medication in their mouth twice before spitting it out.”

Rule A safe indoor and outdoor environment was not provided for the children.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Mar 6, 2025. Correction verified: by a letter from the provider.

An incident report was not completed and mailed to a Division representative within seven days after the incident when medical treatment was required.

“On January 20, 2025, a one-year-old required medical attention following an incident that occurred at the facility and an incident report was not submitted to the Division.”

Rule An incident report was not completed and mailed to a Division representative within seven days after the incident when medical treatment was required.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Mar 6, 2025. Correction verified: by a letter from the provider.

Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container.

“On January 20, 2025, a staff member in the classroom for one-year-old children had a single prescription pill in their pant pocket while caring for the children.”

Rule Medications including prescription and non-prescription items were not stored in a locked cabinet or other locked container.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Mar 6, 2025. Correction verified: by a letter from the provider.

There was a substantiation of child maltreatment.

“On April 15, 2025, The Division of Child Development and Early Education substantiated child maltreatment regarding supervision.”

Rule There was a substantiation of child maltreatment.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jun 17, 2025. Correction verified: at a follow-up visit by DCDEE.

There was no written emergency medical care (EMC) plan.

“On February 27, 2025, there was no EMC plan posted or on file.”

Rule There was no written emergency medical care (EMC) plan.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Mar 6, 2025. Correction verified: by a letter from the provider.

When medication was administered in error, the child care center did not either call 911 in accordance with CPR or First Aid training recommendations, notify the center director, contact the child’s parent, observe the child, or include all the information when documenting the error in writing.

“On January 20, 2025, a staff member failed to follow protocol when they attempted to induce vomiting in a one-year-old child who ingested a medication not prescribed to the child instead of immediately contacting Poison Help and notifying the director as required by the Emergency Medical Care Plan. In addition, eighteen minutes passed before administrative staff contacted 911.”

Rule When medication was administered in error, the child care center did not either call 911 in accordance with CPR or First Aid training recommendations, notify the center director, contact the child's parent, observe the child, or include all the information when documenting the error in writing.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Mar 20, 2025. Correction verified: by a letter from the provider.

Enhanced staff/child ratios and group sizes were not met.

“In space #4 there were eight (8) children present, three (3) two (2) year olds and five (5) one (1) year olds observed with one (1) caregiver. In space #5, there were twelve (12) children observed, three (3) three (3) year olds and nine (9) four (4) year olds with one (1) caregiver.”

Rule Enhanced staff/child ratios and group sizes were not met.. Corrected during the inspection.

Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child’s developmental needs.

“A staff member improperly handled an eleven-month-old child.”

Rule Each child was not attended to in a nurturing and appropriate manner, or in keeping with the child's developmental needs.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Aug 7, 2024. Correction verified: by a letter from the provider.

A drug or medication was administered without written authorization and/or instructions from a child’s parent or authorized health professional.

“Written permission to administer Vaseline to a child in space #1, was observed on file, however the caregivers did not administer the Vaseline per the instructions from the parent.”

Rule A drug or medication was administered without written authorization and/or instructions from a child's parent or authorized health professional.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jul 19, 2024. Correction verified: by a letter from the provider.

Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization.

“Permission to administer Epinephrine Injection, USP and Benadryl were observed in space #6 and permission expired on 6-29-24.”

Rule Leftover medicines were not returned to the parent after the course of treatment was completed, after authorization was withdrawn or after authorization had expired and/or medication was not discarded within 72 hours of completion of treatment or withdrawal of authorization.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Jul 19, 2024. Correction verified: by a letter from the provider.

All staff did not successfully complete certification in CPR training appropriate to the age of the children in care.

“Verification of staff completion of the CPR course from an approved training organization was not in the staff file. One staff member did not complete CPR training as required.”

Rule All staff did not successfully complete certification in CPR training appropriate to the age of the children in care.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Apr 1, 2024. Correction verified: by a letter from the provider.

The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment.

“Four staff members employed for more than 90 days did not have Recognizing and Responding to Suspicions of Child Maltreatment training on file.”

Rule The child care administrator and all staff did not complete the Recognizing and Responding to Suspicions of Child Maltreatment training within 90 days of employment.. Correction date, as North Carolina Department of Health and Human Services, Division of Child Development and Early Education (DCDEE) recorded it: Apr 1, 2024. Correction verified: by a letter from the provider.